Posterior tongue tie treatment is recommended ONLY if it is causing a problem. The treatment is very gentle so there is no risk to baby. Furthermore, a minor posterior tongue tie may not need to be treated if an upper lip tie and/or anterior tongue tie is present and corrected first.
I believe my almost 3 yr old has a posterior tongue tie that was missed when she had her anterior tongue tie treated as a baby. Treatment of posterior tongue tie is fairly straightforward, but a bit more involved compared with anterior tongue tie. Appropriate treatment for tongue tie (ankyloglossia) is the subject of much debate.
Treatment of tongue tie is a procedure called a frenulectomy, which is clipping the membrane under the tongue. The earlier lip tie and tongue tie are treated, the better your nursing relationship will be. This paper reviews what is known about tongue movements and the significance and treatment of tongue tie.
For: Breast & bottle fed infants Specialising in difficult to resolve feeding problems, treatment of tongue tie and follow up support as required. Both you and your baby will need treatment at the same time. With growing awareness of gentle cranial osteopathic treatment, we hope fewer babies are missed, breastfeeding is successful and long term problems such as neck and jaw tightness are avoided.
However we have also had very good results from osteopathic treatment of toddlers and preschool children who usually have had a big problem with breastfeeding as a baby and present to our practice with drooling and having difficulty speaking clearly due to the tongue tightness near the base. Tongue tie division (frenotomy) is a surgical procedure. However a tongue tie that is interfering with breast feeding may require assessment, which may lead to possible treatment (frenotomy).
Best Answer: go to an oral surgeon & get it corrected.Later if not corrected you will get spacing in the front lower teeth & you will need to frenetomy & orth treatment. Different doctors have differing levels of experience with diagnosing and treating tongue tie and lip tie. Treatment is not necessary if your baby has a piece of skin connecting the underside of their tongue to the floor of their mouth, but they can feed without any problems.
A. Tricare Prime does cover treatment of total or complete ankyloglossia (tongue tie) to remove extra connective flesh under the tongue that can cause young children to have trouble swallowing or speaking. The book was the first of its kind and remains the definitive text on the subject and an invaluable manual for the diagnosis and treatment of Tongue tie or Ankyloglossia. Sometimes there may be a tongue tie but it may not be what’s causing the problem, other times underlying issues may need resolving before treating the tie to improve outcome.
As such, Tricare Prime does not cover treatment of partial tongue tie. Final update about my own tongue tie release, last year at age 66: Edith Kernerman IBCLC, Dr. Newman’s partner, said my own tongue tie was not completely released by my oral surgeon. In the trial, two groups of babies were immediately returned to their mothers for breast-feeding, either after division of the tongue tie or without treatment.
A lactation consultant will help identify the causes of breast feeding difficulties and if tongue tie is severe and causing problems will refer you to a surgeon. Many tongue ties are minor and do not require treatment. Children should be assessed by a SLP/SLT prior to tongue tie surgery.
Tongue tie surgery, called a frenulotomy, is rarely needed. Even with a complete tongue-tie where the frenulum attaches to the tongue tip, the baby might be able to breastfeed without treatment if the floor of the mouth is flexible and can be pulled up to allow more tongue movement, but the compensations involved are fatiguing and make feeding less efficient. When tongue tie surgery (frenulectomy) is recommended in an infant, it may be done in the office.
I cannot tell you just how heartwarming that is after the battle to get his TT treated…he’s clearly an advanced speaker & I wouldn’t like to think too much about how frustrated my boy would be if that TT was still there to the tip of his tongue…but I’m pretty sure his speech could not have become so clear & encouraged him to try so many new words & sounds. Treatement of tongue tie is done early, to improve tongue mobiity for breast feeding and speech development. However, the American Academy of Pediatrics and others have documented the negative effects of ankyloglossia on breastfeeding There are also several studies showing that frenotomy improves breastfeeding Finding a practitioner who routinely works with infants with tongue mobility restriction can answer your questions and help you figure out if your baby’s tongue needs treatment.
First, there is disagreement and a lack of objective data in the medical community about the need to surgically correct partial tongue tie; anything short of total or complete tongue tie generally is considered to be of no medical value. Some children don’t need treatment because they adapt to the way their tongue is or the problem gets better as they grow. Infants generally recover very quickly from surgery but for an older child or adult recovery from a conventionally done tongue tie surgery take a week to 10 days and is painful plus the recovery from general anesthesia and the risks of it make many reluctant to revise any but the most severe tongue ties past infancy.
Treating a tongue tie for breastfeeding difficulty is a time sensitive matter and needs to be readily available to families. Also, please explain the different types of surgery for the removal as stated above (frenotomy and frenuloplasty), what the differences are, and how each procedure is done. The surgical procedure to treat tongue tie is typically a frenotomy, which involves clipping or cutting the frenulum.
Tongue-Tie from confusion to clarity: A guide to the diagnosis and treatment of ankyloglossia (tongue-tie). Kotlow, L. A. Ankyloglossia (tongue-tie): a diagnostic and treatment quandary. The most important consideration in determining whether the baby might need to be evaluated for treatment is how well the tongue functions.
In addition, the authors also state that it is uncertain as to which patients will have a speech disorder that can be linked to ankyloglossia and that there is no way to predict at a young age which patients will need treatment. Dr. Marjan Jones, a dentist from Enhanced Dentistry who has treated over 1,000 patients within the past couple of has noticed (along with others who work in this field) that in almost every case an anterior tie will also have a posterior tie as well. These babies are likely to benefit from treatment to release the restriction that the membrane is having on the tongue and enable to baby to feed effectively.
Feeding difficulties may be a reason to consider early surgery to cut the lingual frenulum and loosen the tongue. As any treatment at this age will require a General Anaesthetic, there is an even greater need to be able to justify any action. I treat problems with tongue function, not simply the presence of something under the tongue.
Prevalence, diagnosis, and treatment of ankyloglossia: methodologic review. Every attempt to find a non surgical resolution should be attempted before considering a tongue tie release. Dr. Ochi, one of the nation’s leading experts in diagnosis and treatment of tongue tie in newborn babies, has developed a brief survey to help new mothers learn if their baby may be suffering from ankloglossia.
Frenotomy-a procedure to clip the tissue that connects the tongue to the floor of the mouth- was once well accepted as a simple intervention to treat certain breastfeeding difficulties. If the condition is causing problems with feeding, conservative treatment includes breastfeeding advice and counselling, massaging the frenulum, and exercising the tongue. Treatment for tongue-tie consists of clipping” the membrane with surgical scissors or by laser to release the tongue.
I think the more conservative treatment is the way to go. Laser surgery allows a layer by layer, thorough removal of the attachment of lip and/or tongue tie. There are different regional referral patterns, but all three types of surgeon would be equally good at dividing it. They would all expect to do this under a general anaesthetic, as a day case, i.e. with you asleep and no overnight stay in hospital.
As discussed above not all ties need intervention to breastfeed, however parents should be aware that a tongue tie can impact in other areas at a later stage – when treating is a much bigger procedure. Whether most babies and children with tongue-tie need treatment is still controversial. A tongue tie release is a small and simple surgical procedure, however like all surgical procedures especially on infants they should be avoided if possible.
Most newborns diagnosed with tongue tie can be treated with a single visit to the doctor’s office and a simple procedure called a frenetomy. Evidence supports treating tongue tie for breastfeeding difficulty , but it isn’t a cut and dried solution to all problems, and is woven into the intricacies of modern parenting. And by behaving I mean that if he goes to the gate and you get him to go away and stand still for at least 15 seconds, then pet him, get off, give a treat if you want, and tie him up (or put him in the round pen) for at least an hour to make him think about what just happened.
It is the preferred surgery for tongue-tie in babies younger than 1 year of age. I have a girlfriend and i’m getting serious with her, because of my tongue tie condition i can’t kiss her properly, referral to surgery on the NHS takes up to 18 weeks to finally have surgery. Some parents/caregivers like to seek two SLP/SLT opinions to help them make their decision whether to not to proceed with tongue-tie surgery.
I can assess and treat tongue tie privately, both in the home and in my fortnightly Cambridge and Bury St Edmunds clinics. Some parents decline to even have the tongue attachment medically evaluated and some health care providers deny the need to treat ankyloglossia. If the tie is sever enough, an oral surgeon or ENT may be called in to do the procedure.
Not at all surprised the paediatrician advised against treatment. Failure to achieve this may require surgical division of the lip tie. Evidence-based research states that early diagnosis and treatment for this, coupled with skilled post-procedural support, can make a big difference to feeding success ‘ sometimes making the difference between continuing to breastfeed and giving up altogether.
There has been a tremendous amount of new information from research studies, especially about posterior ties, and the use of lasers for very delicate surgery has revolutionized the treatment. Treatment can be safely performed on a child as early as few days old. Some babies have frenulums attached near the front, but the frenulum is very elastic and allows effective breastfeeding without treatment.
A week later he was treated and we were made to feel very comfortable during something that could be very distressing. If they find anything unusual they will discuss their observations, and if they do not treat tongue tie themselves or perform the full oral assessment to confirm, should advise seeing someone who specialises in this field. The treatment for tongue-tie is a simple operation called a frenulotomy.
If your Dr isn’t very informed ask if they know someone who is. You could also contact your local La Leche League leader and ask her if there is a local Dr or dentist who is able to diagnose and treat tongue tie. Before any procedure is carried out there would be a full analysis of the movement of the tongue and other factors that would influence whether the procedure was necessary or not and then you can decide whether or not to consent to treatment.
Tongue tie is too short treatment and care
First, the operation time
Currently, the medical profession tongue tie is too short there is no uniform view of age at surgery, most experts believe that the best age for tongue-tie dressing operation is about 5 years old. Because:
1, the child’s pronunciation and auditory function, language environment, intellectual development, pronunciation and other factors related. These factors within the period of 4 to 8 years of age to complete, therefore, before the age of 4 or more young children, if they have to predict the future is very difficult dysphonia.
2, tongue tie also with children age gradually shifted backward. Even tongue tie is too short, can be improved through training, the majority of children with developmental dysfunction does not occur.
Children 3,5 years old, about to go to school, already have a certain ability to think, as long as the patient and the children speak clearly the stakes of surgery, most children can still meet the medical staff successfully completed surgery.
Second, the surgical method
1, a simple local anesthesia: scissors, electric knife or laser cut attachment abnormal tongue tie, generally do not suture. This method is suitable for children with tongue tie thin children with little bleeding and wounds difficult to cut adhesions after children. Pros: Simple. Disadvantages: Some children may surgery less effective, may not be entirely possible to reach normal levels, there is likely to need a second surgery.
2, complex anesthesia: general 6 years of age can be used with children can be, incision tongue tie after the wound needed stitches to reduce the chance of adhesions. Advantages: local anesthesia, better surgical results. Disadvantages: children fit.
3, anesthesia: more for not combined with surgery and the wound needed stitches children. Pros: You can basically reached an operation satisfactory results. Disadvantages: need to be hospitalized, the relatively high cost of surgery.
Third, the indications for surgery
1, newborn infants can only be judged by the tongue-tie attachment position to judge the tongue tie is not short, usually six months or so as the children teething tongue tie position may be some changes, but for direct attachment to Children may be more obvious changes in the tongue, and with the eruption of the lower front teeth, may be repeated sublingual ulcer , so the tongue tie is really close to the tip of the tongue attachment surgery earlier recommendations, within six months local anesthesia surgery patients children crying is not severe, surgery is better than the bigger children. But not all children can be at this time surgery under local anesthesia, some of the children is relatively thick tongue tie, hair cut can not suture surgery under local anesthesia, easy adhesion, may require general anesthesia.
2, with the increase in children (1-5 years old), tongue tie some middle a little tongue tie children will muscle thickening ingredient than before, local anesthetics postoperative bleeding more, and children for hospital fear of children crying so heavy so that the procedure is not easy to force a small portion lacing thin children can be tongue-tie surgery under local anesthesia in the enforcement case, but the child will have to have a certain spiritual trauma . Part lacing children also due to the relatively thick bleeding, postoperative adhesions, etc. occur recommendations were general anesthesia will be better.
Children 3 and 6 years of age because most available with the completion of this outpatient surgery can choose local anesthesia.
4, the tongue tie is too short may not be entirely affect the pronunciation, there are some children very short tongue tie pronunciation but no problem, this may be different in different children compensatory ability is a very big relationship, but may generally speaking tongue tie is too short pronunciation unclear children will be more than normal chance of some children. From the perspective of pronunciation, surgery should be performed before surgery in children one to two years, but because children at this stage in the process of development since the voice of them, not to judge the short tongue tie is not necessarily affect the operation, it is recommended to check if indeed shape Earlier surgery may be abnormal attachment, check if the attachment was abnormal shape, Shenshe activity also can pronounce the kids bigger observe the situation say.
5, speaking tongue tie from the perspective of improving the appearance with short correction is no absolute indications, if the fear of the children feel that they and others do not affect self-esteem or to communicate with other children, you can always consider surgery.
6, for other reasons need surgery for an appropriate surgical approach based on needs and children with their own circumstances. Related Recommended: pronunciation baby scissors are not allowed in respect of tongue tie it?